Individual
LEIGH HARTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
PO BOX 75, NEWPORT, MN 55055-0075
(612) 802-5055
Mailing address
PO BOX 75, NEWPORT, MN 55055-0075
(612) 802-5055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24559
MN
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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